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Individual

TIFFANIE LUCILLE MARTINEZ I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(141) 210-3000
Mailing address
14400 ADDISON ST APT 310, SHERMAN OAKS, CA 91423-1732
(818) 573-8013

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
374700000X
Technician
Primary

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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